Phs Providence Diabetes And Nutrition Center in Washington - Dietitian, Registered

Phs Providence Diabetes And Nutrition Center - NPI 1881859817

Phs Providence Diabetes And Nutrition Center is a Dietitian, Registered in Washington, District Of Columbia. Phs Providence Diabetes And Nutrition Center practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Phs Providence Diabetes And Nutrition Center is 1881859817. The last update date is 2017-10-09.

Phs Providence Diabetes And Nutrition Center's current location address is 1160 Varnum St Ne, Washington, District Of Columbia. You can contact this provider via phone number 2028547123 and fax number 2028544854. The mailing address for Phs Providence Diabetes And Nutrition Center is 1160 Varnum St Ne, Washington, District Of Columbia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Phs Providence Diabetes And Nutrition Center
Address 1160 Varnum St Ne, Washington, District Of Columbia
Phone Number 2028547123
Fax Number 2028544854
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Higginbotham Beau
Telephone Number 4103683162

NPI Number Detail

NPI Number 1881859817
Provider Enumeration Date 2008-07-18
Last Updated Date 2017-10-09

Provider Mailing Address Detail

Address 1160 Varnum St Ne
City Washington
State District Of Columbia (DC)
Post Code 200172107
Phone Number 2028547123
Fax Number 2028544854

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No HFD01-0212
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
463400400 MD --

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FAQs about Phs Providence Diabetes And Nutrition Center

What is the Phs Providence Diabetes And Nutrition Center's unique identification number?

The Phs Providence Diabetes And Nutrition Center has been assigned the NPI (National Provider Identifier) Number 1881859817 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Phs Providence Diabetes And Nutrition Center's facilities are situated?

The facilities of Phs Providence Diabetes And Nutrition Center are physically located at the following address: 1160 Varnum St Ne, Washington, DC, 200172107.

What is Phs Providence Diabetes And Nutrition Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Phs Providence Diabetes And Nutrition Center is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.

When was the Phs Providence Diabetes And Nutrition Center's 1881859817 issued?

The Phs Providence Diabetes And Nutrition Center's 1881859817 was issued on 2008-07-18.

When was the Phs Providence Diabetes And Nutrition Center's information last updated?

The Phs Providence Diabetes And Nutrition Center's information was last updated on 2017-10-09.

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